Table 2 Summary of genetic findings, allele fractions, and clinical diagnoses in patients with incidental findings identified through NGS-MGP testing on peripheral blood leukocyte (PBL)-derived DNA.

From: Incidental findings from cancer next generation sequencing panels

Patient ID

Gene

PBL Variant

PBL Allele Fraction (Age)

Secondary Finding Category

Direct Skin Biopsy Allele Fraction

Cultured Fibroblast Allele Fraction

Tumour Tissue Allele Fraction

Dx Conclusion

2

TP53

c.524 G > A

p.(Arg175His)

5.8% (66)

3.8% (67)

1.3% (68)

2,3

0%

0%

NA

CH

3

TP53

c.747 G > T

p.(Arg249Ser)

13.9% (78)

2,3

0%

NA

0%

CH

6.7% (79)

5

TP53

c.742 C > T

p.(Arg248Trp)

12.0% (69)

2,3

NA

NA

NA

Likely CH (Deceased)

6

TP53

c.586 C > T

p.(Arg196*)

13.8% (56)

2,3

3.80%

NA

NA

Likely CH

14.9% (56)

7

TP53

c.743 G > A

p.(Arg248Gln)

23.4% (38)

2,3

NA

21%

NA

TP53 mosaic

21.5% (38)

25.2% (39)

21.2% (40)

8

TP53

c.1118delA

p.(Lys373Argfs*49)

13.8% (71)

2,3

NA

NA

NA

Likely CH (Deceased)

10

TP53

c.733 G > A

p.(Gly245Ser)

32.7% (71)

2,3

TP53: c.880 G > T, p(Glu294*) 12.2%

All 3 TP53 variants 0%

NA

CH

32.8% (71)

TP53: c.380 C > T, p.(Ser127Phe) 6.2%

11

TP53

c.659 A > G

p.(Tyr220Cys)

53.3% (74); 82.3% (75)

1,3

5.1%

0%

NA

Chronic Lymphocytic Leukemia-related

  

c.(?_21-)_(*21_?)del whole gene deletion

35% (74); 40% (75)

 

NA (DNA poor quality)

0%

  

12

TP53

c.818 G > A

p.(Arg273His)

27.4% (83)

2,3

2.90%

0%

NA

Multiple Myeloma related

13

TP53

c.542 G > A

p.(Arg181His)

10.6% (52)

2,3

2.20%

0%

NA

CH

15.0% (53)

14

TP53

c.537 T > A

p.(His179Gln)

17.8% (82)

2,3

NA

NA

NA

Likely CH (Deceased)

15

TP53

c.818 G > A

p.(Arg273His)

10.4% (70)

2,3

0% (muscle)

NA

NA

CH

16

TP53

c. 438 G > A

p.(Trp146*)

29.0% (63)

1,3

NA

NA

NA

Likely CH

c.811 G > T

p.(Glu271*)

38.0% (63)

18

ATM

c.(?_21)_(*21_?)del whole gene deletion

10-15% (80)

2

0%

0%

NA

CH

19

ATM

c.7736_7737insC

p.(Arg2579Serfs*7)

15.0% (62)

2

5%

NA

NA

Likely CH

22

ATM

c.(?_−21)_(*21_?)del whole gene deletion

20.0% (71)

2

NA

NA

NA

Likely CH (Deceased)

24

CHEK2

c.1111 C > T

p.(His371Tyr)

27.3% (69)

1,2

NA

NA

NA

Likely CH

BRCA1

c.5503 C > T

p.(Arg1835*)

50% (69)

Likely germline BRCA1

27

CHEK2

c.684-1 G > A

11.7% (68)

2

0.87%

NA

NA

Likely CH

10.2% (68)

29

TP53

c. 375 G > A

p.T125T Splice

50% (53)

3

NA

50%

NA

Full germline

33

BRCA1

c.1195_1196delCA

p.(His339*)

23.6% (58)

2

27.0%

24%

NA

BRCA1 mosaic

40

APC

c.1383_1390del insATGAATGA

p.(His462*)

7.2% (33)

2

NA

NA

present in duodenal polyp (no AF)

APC mosaic

41

TP53

c.743 G > A

p.(Arg248Gln)

47.5% (77)

1,3

NA

NA

3.5% (breast tumour)

Likely CH

 

APC

c.(?_−20)_(*21_?)del whole gene deletion

~30% (77)

   

NA

 

42

TP53

c.637 C > T

p.(Arg213*)

32.6% (73)

3

NA

0%

NA

CH

43

TP53

c.818 G > A

p.(Arg273His)

37.1% (75)

3

NA

0%

NA

CH

  1. PBL Peripheral Blood Leukocyte, Dx Diagnosis, CH Clonal hematopoiesis.